Child Safe on the fever, the election The trick medicine
Recently, the flu-like fever in a child again increased recently. Anti-fever medicine, I am afraid that most of the family standing as one of the drugs, then what kind of anti-fever medicine the most secure? How to use it?
Acetaminophen (also known as paracetamol) trade names are: Tylenol, 100 enjoin, Antya fever.
Per kg of body weight 10 ~ 15 mg / time, although the fast onset of fever, but the control of body temperature in a shorter time compared to other drugs, the average control time for 2 hours or so. Its side effects are relatively small, so high security. Currently used worldwide in clinical practice, for two children under the age of the drug habit.
But we know that the drug has a dose-dependent, that is, increased efficacy with dose increases, so to prevent excessive application of the drug can cause liver damage.
Ibuprofen trade names are: Merrill Lynch, Tien-chien, Chen Gong Zai-Xin, etc.. Drug and acetaminophen are recommended by the WHO for children using two kinds of antipyretics. Dosage: oral 5 ~ 10mg / kg of body weight times, 6 to 8 hours a time.
Features: smooth and persistent fever, fever duration of up to 8 hours. And it is for the high fever (39OC above) faded into the background better than paracetamol stronger, lasted longer.
Main side effects: mild gastrointestinal reactions, transaminase increased, even that can affect blood clotting functions. Excessive use may have central nervous system suppression, seizures and so on. Therefore, the clinical drug is used for heat over the age of three children.
Nimesulide in Italy in 1985 and listed on the successful development of novel non-steroidal anti-inflammatory, analgesic, antipyretic drugs. At present, China has sold on the market. While there will be reported in the literature of nimesulide and ibuprofen compared to highlight the advantages of fewer adverse reactions digestive system, but the growing body of literature reported that the application of nimesulide has caused severe liver damage cases.
Aspirin in clinical practice, now is not used for fever treatment, only for some specific diseases, such as Kawasaki disease and so on. Because ever since the 20th century, 70 years, medical scientists found that the drug can cause Reye’s syndrome among children.
Analgin because of its obvious adverse reactions, these years are used less. However, some smaller clinics are also available to the child, parents who pay attention to.
The drug is a compound with aspirin lysine salt can be used for intravenous injection and intramuscular injection, quick onset, efficacy is good, and avoid aspirin and ibuprofen oral stimulation of the gastrointestinal tract. Antipyretic effect of the drug strong, fast onset of action and role of relaxation and long-lasting and less side effects and can be used as a common pediatric antipyretic drugs. But the long-term use may trigger Reye’s syndrome, and some may give rise to anaphylactic shock and severe asthma attack.
Typically, when a child a temperature over 38. 5OC when doctors are recommended to use anti-fever drugs, because the fever is the body of a defense response, the appropriate heat can help the body eliminate the virus and bacteria. In addition, should be noted that fever is only symptomatic treatment, in the treatment of the cause based on the use of antipyretics, is relatively safe.